Diabetes prevention program

Diabetes prevention program

 covers a diabetes prevention program once if all of these conditions apply to you: 

  • You have a hemoglobin A1c test result between 5.7 and 6.4%, a fasting plasma glucose of 110-125mg/dL, or a 2-hour plasma glucose of 140-199 mg/dL (oral glucose tolerant test) within 12 months before attending the first core session.
  • You have a body mass index (BMI) of 25 or more (BMI of 23 or more if you’re Asian).
  • You've never been diagnosed with type 1 or type 2 diabetes or .
  • You've never participated in the Medicare Diabetes Prevention Program.
How often is it covered?
Your costs in Original Medicare

You pay nothing for these services.

What it is

Medicare’s Diabetes Prevention Program is a proven health behavior change program to help you prevent type 2 diabetes.

The program begins with 16 core sessions offered in a group setting over a 6-month period. In these sessions, you’ll get:

  • Training to make realistic, lasting behavior changes
  • Tips on how to get more exercise
  • Strategies for controlling your weight
  • A behavior coach, specially trained to help keep you motivated
  • Support from people with similar goals

Once you complete the core sessions, you’ll get:

  • 6 more months of less intensive monthly follow-up sessions to help you maintain healthy habits
  • An additional 12 months of ongoing maintenance sessions if you meet certain weight loss and attendance goals
Things to know

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